| NPI | 1255579272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA PATEL Owner 213-248-1382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A92098) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2024-11-18 |